Individual
TYLER JUNTTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
(218) 333-2019
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
71535
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2017
Last updated
09/16/2022
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